Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $34.67 / $58.88	Professional		$26.92	$34.67	$58.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $109.65 / $114.82 / $120.23	Professional	50	$109.65	$114.82	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $53.70 / $89.13	Professional		$34.67	$53.70	$89.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $61.66 / $85.11	Professional		$35.48	$61.66	$85.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $41.69 / $64.57	Facility		$30.20	$41.69	$64.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $54.95 / $83.18	Professional		$33.88	$54.95	$83.18
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $125.89 / $154.88	Professional	50	$125.89	$125.89	$154.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $70.79 / $72.44	Facility		$53.70	$70.79	$72.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $44.67 / $75.86	Facility		$29.51	$44.67	$75.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $69.18 / $87.10	Professional		$50.12	$69.18	$87.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $72.44 / $95.50	Professional		$43.65	$72.44	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $54.95 / $91.20	Professional		$35.48	$54.95	$91.20